| NPI | 1720899776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WOODSON Owner/Operator 207-900-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-03-14 |